Journal of Gastrointestinal Surgery最新文献

{"title":"You may delay, but time will not","authors":"Fumihiro Kawano, Claudius Conrad","doi":"10.1016/j.gassur.2025.101970","DOIUrl":"10.1016/j.gassur.2025.101970","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 4","pages":"Article 101970"},"PeriodicalIF":2.2,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of life and social health in patients after pancreatic surgery","authors":"Nicholas Galouzis,&nbsp;Maria Khawam,&nbsp;Evelyn V. Alexander,&nbsp;Lusine Mesropyan,&nbsp;Carrie Luu,&nbsp;Mohammad R. Khreiss,&nbsp;Taylor S. Riall","doi":"10.1016/j.gassur.2025.101969","DOIUrl":"10.1016/j.gassur.2025.101969","url":null,"abstract":"<div><h3>Background</h3><div>Clinicians lack robust data on quality of life (QOL) and social functioning after pancreatectomy limiting their ability guide patient decision making aligned with patients’ goals of care.</div></div><div><h3>Methods</h3><div>In this cross-sectional survey study, we administered the European Organization for Research and Treatment of Cancer Core Quality of Life questionnaire, pancreas-specific QLQ-PAN26, Patient-Reported Outcomes Measurement Information System (PROMIS) Ability to Participate in Social Roles, and PROMIS activities and social isolation scales to all elective pancreatectomies (2021–2023). Results were compared with both normative data and between groups to determine factors predicting better QOL with a &gt;10–12-point change considered clinically significant.</div></div><div><h3>Results</h3><div>A total of 143 patients were included; 71 (49.6%) completed the distributed surveys. The average age of responders was 59.9 ± 16.1 years with 56.3% men. Pancreaticoduodenectomy (54.9%) was performed for malignancy in 67.6% of cases. Compared with normative population controls, postpancreatectomy patients reported lower role functioning scores (67.2 ± 28.7 vs 81.7 ± 28.2, 14.5 score difference) but less social isolation (40.6 ± 5.7 vs 50.0 ± 10.0, 9.4 score difference). Compared with patients with benign disease, those with malignancy reported clinically significant worse social functioning; more fatigue, pain, constipation, change in taste, weight loss, weakness, and altered bowel habits; worse body image; and increased worries about the future. Despite more symptoms, they were more satisfied with the healthcare they received (all &gt;10-point score difference).</div></div><div><h3>Conclusion</h3><div>QOL and social health are affected by pancreatic resection and outcomes differ whether surgery was performed for benign or malignant disease. These issues are largely unaddressed and are potential targets for intervention to improve QOL.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 3","pages":"Article 101969"},"PeriodicalIF":2.2,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global, regional, and national burden of gallbladder and biliary tract cancer, 1990 to 2021 and predictions to 2045: an analysis of the Global Burden of Disease study 2021","authors":"Chunlong Liu ,&nbsp;Sen Du ,&nbsp;Xue Liu ,&nbsp;Wang Niu ,&nbsp;Kun Song ,&nbsp;Jiangtao Yu","doi":"10.1016/j.gassur.2025.101968","DOIUrl":"10.1016/j.gassur.2025.101968","url":null,"abstract":"<div><h3>Background</h3><div>Identifying past, present, and future temporal trends in gallbladder and biliary tract cancer (GBTC) can increase public awareness and promote changes in prevention and treatment strategies.</div></div><div><h3>Methods</h3><div>The incidence and death rates of GBTC between 1990 and 2021 were extracted from the Global Burden of Disease study 2021 and assessed according to country, region, year, age, and sex. Time trends were measured using the average annual percentage change (AAPC) and projections of the burden of disease for 2022 to 2045 were made using the Bayesian age-period-cohort model.</div></div><div><h3>Results</h3><div>In 2021, there were 216,768.3 new cases (95% uncertainty interval [UI], 181,888.0–245,237.6) and 171,961.2 deaths (95% UI, 142,351.8–194,238.4) in GBTC globally. The increases in incidence and deaths were 101.09% and 74.26%, respectively, compared with 1990. The GBTC burden was higher in females and older adults. However, age-standardized incidence rate (ASIR) and age-standardized death rate (ASDR) trended downward from 1990 to 2021, with AAPC at −0.39 (95% CI, −0.52 to −0.26) and −0.88 (95% CI, −0.96 to −0.79), respectively. Although the ASIR and ASDR for both sexes are projected to decline gradually from 2022 to 2045, the incidence and deaths are expected to increase steadily. In addition, the global proportion of GBTC deaths owing to high body mass index in 2021 was 12.66% for females and 10.48% for males, which did not change significantly from 1990.</div></div><div><h3>Conclusion</h3><div>GBTC is becoming a major global health burden, especially among females and older adults. Given the increasing burden of an aging population, there is a need to reduce the incidence of this disease by adopting effective strategies and measures targeting risk factors.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 3","pages":"Article 101968"},"PeriodicalIF":2.2,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Invited commentary on “Is end-to-end or side-to-end anastomotic configuration associated with risk of positive intraoperative air leak test in left-sided colon and rectal resections for colon and rectal cancers? Intraoperative air leak test matters”","authors":"Marco E. Allaix,&nbsp;Mario Morino","doi":"10.1016/j.gassur.2025.101966","DOIUrl":"10.1016/j.gassur.2025.101966","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 4","pages":"Article 101966"},"PeriodicalIF":2.2,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sarcoidosis of the common bile duct: an uncommon mimicker of biliary malignancy","authors":"Giulia Canali,&nbsp;Gerlinde Averous,&nbsp;Pietro Addeo","doi":"10.1016/j.gassur.2025.101967","DOIUrl":"10.1016/j.gassur.2025.101967","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 3","pages":"Article 101967"},"PeriodicalIF":2.2,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative outcomes of a pelvic pouch procedure: Lessons learned over 40 years among 5070 patients","authors":"Olga Lavryk,&nbsp;Marianna Maspero,&nbsp;Stefan D. Holubar,&nbsp;Arielle Kanters,&nbsp;David Liska,&nbsp;Michael A. Valente,&nbsp;Jeremy M. Lipman,&nbsp;Hermann Kessler,&nbsp;Scott R. Steele,&nbsp;Tracy L. Hull","doi":"10.1016/j.gassur.2024.101938","DOIUrl":"10.1016/j.gassur.2024.101938","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to report the experience over 40 years and outcomes of 5070 patients who underwent a pelvic pouch procedure.</div></div><div><h3>Methods</h3><div>A retrospective analysis of a prospectively maintained ileal pouch-anal anastomosis (IPAA) database (1983–2022) was performed. Patients were stratified based on the following diagnoses: ulcerative colitis (UC), indeterminate colitis (IC), familial adenomatous polyposis (FAP), inflammatory bowel disease (IBD)-dysplasia, Crohn colitis (CD), and others. The long-term IPAA outcomes, quality of life, and satisfaction with IPAA over time were studied.</div></div><div><h3>Results</h3><div>The Kaplan-Meier pouch survival rates at 20 years based on the diagnosis were as follows: 92% (95% CI, 90%–94%) for UC, 87% (95% CI, 81%–94%) for CD, 95% (95% CI, 92%–99%) for FAP, and 92% (95% CI, 89%–96%) for IC. Of the patients with UC, 28% developed pouchitis, 12% developed anastomotic stricture, and 13% developed small bowel obstruction. Patients with IC had the highest rate of pouchitis (347 [37%]) and IPAA strictures (154 [17%]). Patients with CD had the highest rate of fistula (26 [15%]). Patients with FAP had the highest rate of obstruction (41 [25%]). The social lifestyle restrictions were predominant among patients with FAP (20%) compared with those with UC (12%) or CD (13%) (<em>P</em> =.004). The median stool frequency was 6 (IQR, 5–8) among the groups (<em>P</em> =.46).</div></div><div><h3>Conclusion</h3><div>Patients with an IBD diagnosis and IPAA were at an increased risk of pouch-associated complications, such as pouchitis, strictures, and pelvic sepsis. Patients with FAP had the best pouch survival with significantly lower rates of pouch-associated complications.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 4","pages":"Article 101938"},"PeriodicalIF":2.2,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bowel function and quality-of-life outcomes in locally advanced rectal cancer: watch-and-wait vs total mesorectal excision","authors":"Tapas N. Parikh ,&nbsp;Kent J. Peterson ,&nbsp;Ruta Brazauskas ,&nbsp;Jed F. Calata ,&nbsp;Carrie Y. Peterson ,&nbsp;Kirk A. Ludwig ,&nbsp;Timothy J. Ridolfi","doi":"10.1016/j.gassur.2025.101972","DOIUrl":"10.1016/j.gassur.2025.101972","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 3","pages":"Article 101972"},"PeriodicalIF":2.2,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of care fragmentation and hospital cancer designation with survival in gastroesophageal junction cancer: a statewide study","authors":"Rejoice F. Ngongoni ,&nbsp;Hester C. Timmerhuis ,&nbsp;Amy Y. Li ,&nbsp;Heather Day ,&nbsp;Jon Harrison ,&nbsp;Brendan C. Visser","doi":"10.1016/j.gassur.2025.101962","DOIUrl":"10.1016/j.gassur.2025.101962","url":null,"abstract":"<div><h3>Background</h3><div>Fragmentation of care (FC) refers to healthcare provided by different providers and facilities. FC has been associated with inferior outcomes. However, it improves access to specialized cancer care. This study aimed to identify the association between fragmented gastroesophageal junction (GEJ) cancer care and survival.</div></div><div><h3>Methods</h3><div>In this retrospective cohort study, adults diagnosed with primary GEJ cancer between January 1, 2007, and December 31, 2017, were identified in the California Cancer Registry (patient data) and merged with the California Department of Healthcare Access and Information database (facility-level data for each patient encounter). FC was measured by quantity, defined as the number of facilities a patient visited within 1 year after diagnosis, and FC directionality, defined by how patients transitioned across different healthcare facilities (with/without cancer center designation). Multivariate time-varying Cox regression models were used to determine the association between FC and survival, which was expressed as hazard ratios (HRs).</div></div><div><h3>Results</h3><div>Overall, 6025 patients were identified. Of the 2919 patients (48.4%) who experienced FC, 1979 (67.8%) were observed at 2 facilities. Time-varying Cox regression for FC quantity showed that FC quantity was associated with higher mortality (2 facilities: HR, 1.21; 95% CI, 1.12–1.31; <em>P</em> &lt;.001, 3 facilities: HR, 1.47; 95% CI, 1.31–1.65; <em>P</em> &lt;.001; ≥4 facilities: HR, 2.34; 95% CI, 1.93–2.82; <em>P</em> &lt;.001). Upgrading care received from a non-designated center to a designated center was associated with a higher survival than patients who received unfragmented non-designated care (HR: 1.40 [95% CI, 1.16–1.70; <em>P</em>=.001] vs 1.48 [95% CI, 1.29–1.70; <em>P</em> &lt;.001] respectively).</div></div><div><h3>Conclusion</h3><div>Fragmented GEJ cancer care was associated with decreased survival rates. However, upgrading care from a nondesignated cancer facility to a designated cancer facility could mitigate the deleterious association between FC and decreased survival rates.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 3","pages":"Article 101962"},"PeriodicalIF":2.2,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges faced by patients undergoing fecal ostomy surgery: a qualitative study of colorectal cancer patient perspectives","authors":"Stefanie J. Soelling ,&nbsp;Atziri Rubio-Chavez ,&nbsp;Zoe Ingram ,&nbsp;Laura Baird ,&nbsp;Mary E. Brindle ,&nbsp;Zara Cooper ,&nbsp;Ana-Maria Vranceanu ,&nbsp;Christine S. Ritchie ,&nbsp;Christy E. Cauley","doi":"10.1016/j.gassur.2025.101963","DOIUrl":"10.1016/j.gassur.2025.101963","url":null,"abstract":"<div><h3>Background</h3><div>Education and support for ostomy are instrumental in surgical recovery and adaptation. This study aimed to evaluate (i) the challenges faced by fecal ostomy patients with colorectal cancer and (ii) the resources necessary for recovery.</div></div><div><h3>Methods</h3><div>This study recruited patients 21 to 90 days after scheduled fecal ostomy surgery for locally advanced or metastatic colorectal cancer from a single tertiary academic center. This study conducted 1:1 semistructured interviews until thematic saturation using hybrid deductive-inductive coding.</div></div><div><h3>Results</h3><div>This study interviewed 20 patients (80% male; mean age of 59.7 years). Several major themes emerged, including challenges in (i) practical ostomy management, (ii) emotional distress, (iii) adaptation to daily life, and (iv) provider relationships. The participants faced ostomy care challenges owing to peristomal skin issues, leaks, and difficulty ordering supplies. Many participants noted significant distress or anxiety related to embarrassment caused by leaks, odors, or noise. This distress led participants to fear going out in public, embarrassment from the ostomy, and anxiety about their daily activities (eg, returning to work and relationships). When adapting to life with an ostomy, several participants noted that anxiety affected their ability to care for the ostomy and resume their daily activities, leading to social isolation. Patients reported challenges with provider relationships and a lack of anticipatory guidance from the surgical team preoperatively, including insufficient education on practical management, ordering of ostomy supplies, ensuring adequate hydration, and maintaining proper nutrition.</div></div><div><h3>Conclusion</h3><div>Patients with colorectal cancer who require fecal ostomy face several challenges related to ostomy. Interventions that address practical management, navigating distress, adaptation, and provider education are needed to provide tailored education and support.</div></div>","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 3","pages":"Article 101963"},"PeriodicalIF":2.2,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Data leakage of the National Surgical Quality Improvement Program present at time of surgery variables","authors":"Tyler Zander ,&nbsp;Melissa A. Kendall ,&nbsp;Rachel L. Wolansky ,&nbsp;Rajavi Parikh ,&nbsp;Joseph Sujka ,&nbsp;Paul C. Kuo","doi":"10.1016/j.gassur.2025.101965","DOIUrl":"10.1016/j.gassur.2025.101965","url":null,"abstract":"","PeriodicalId":15893,"journal":{"name":"Journal of Gastrointestinal Surgery","volume":"29 3","pages":"Article 101965"},"PeriodicalIF":2.2,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}